Randall S. Pass is a Family Medicine in Marion, Illinois. Randall S. Pass practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Randall S. Pass is 1831149228. The last update date is 2012-07-07.
Randall S. Pass's current location address is 1506 S. Sioux Dr, Marion, Illinois. You can contact this provider via phone number 6189975270 and fax number 6189975029. The mailing address for Randall S. Pass is 1506 S. Sioux Dr, Marion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall S. Pass |
|---|---|
| Address | 1506 S. Sioux Dr, Marion, Illinois |
| Phone Number | 6189975270 |
| Fax Number | 6189975029 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1831149228 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2012-07-07 |
Provider Mailing Address Detail
| Address | 1506 S. Sioux Dr |
|---|---|
| City | Marion |
| State | Illinois (IL) |
| Post Code | 629590000 |
| Phone Number | 6189975270 |
| Fax Number | 6189975029 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 41607 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 370966854023 | IL | -- | |
| 10007546 | IL | BCBS | |
| 163392 | IL | HEALTH ALLIANCE SHAWNEE HEALTH | |
| CF3444 | IL | MEDICARE RAIL ROAD | |
| 36116809 | IL | -- | |
| 10032052 | IL | BCBS SHAWNEE HEALTH |
Post Comment/ Review Below
What is the unique provider identifier assigned to Randall S. Pass?
The Randall S. Pass has been issued the NPI (National Provider Identifier) 1831149228 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Randall S. Pass is geographically located?
The Randall S. Pass is physically situated at the following location: 1506 S. Sioux Dr, Marion, IL, 629590000.
What is the area of specialization for Randall S. Pass, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Randall S. Pass is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Randall S. Pass receive its 1831149228 assignment from the Centers for Medicare & Medicaid Services?
The Randall S. Pass was assigned its 1831149228 by the Centers for Medicare & Medicaid Services on 2006-05-10.
As of what date was the information pertaining to Randall S. Pass, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Randall S. Pass, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-07-07.